| 影像监视下的微创膝关节单髁置换术 |
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| 引用本文： | 蔡珉巍,刘晓东,薛华明,凃意辉. 影像监视下的微创膝关节单髁置换术[J]. 中国骨与关节损伤杂志, 2010, 25(10) |
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| 作者姓名： | 蔡珉巍 刘晓东 薛华明 凃意辉 |
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| 作者单位： | 上海市杨浦区中心医院骨科,200090 |
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| 摘 要： | 目的探讨影像监视下的微创膝关节单髁置换术初步疗效与手术技术。方法回顾性分析2007年1月～2008年12月采用影像监视下的微创膝关节单髁置换术治疗38例(40膝)膝关节内侧间室骨性关节炎患者的资料,对患者术前、术后膝关节疼痛及关节活动度进行评估(HSS评分法),测量术后膝关节力线并与术前测量结果比较,分析术前影像监视下的适应证选择和术中影像监视下的手术操作。结果 36例(38膝)术后平均随访18个月(12～36个月),关节内侧间室疼痛症状明显减轻或消失,膝关节活动度达到平均120°(0～135°)。术后力线为平均内翻2°(0°～内翻5°),HSS评分由术前72分(65～85分)增至90分(80～95分),优良率达95%。结论影像监视下的微创膝关节单髁置换术会使术前病例的选择更规范,手术操作更精确,术后疗效更确切,是膝关节内侧间室骨性关节炎的有效治疗方法。
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| 关 键 词： | 影像监视 微创 膝关节单髁置换术 骨性关节炎 |
Minimally Invasive Surgery Unicompartmental Knee Arthroplasty with Imaging Monitoring |
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| Cai Minwei,Liu Xiaodong,Xue Huaming,et al.. Minimally Invasive Surgery Unicompartmental Knee Arthroplasty with Imaging Monitoring[J]. Chinese Journal of Bone and Joint Injury, 2010, 25(10) |
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| Authors: | Cai Minwei Liu Xiaodong Xue Huaming et al. |
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| Affiliation: | Cai Minwei,Liu Xiaodong,Xue Huaming,et al.Department of Orthopedics,The Central Hospital of Yangpu District of Shanghai,Shanghai,200090 |
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| Abstract: | Objective To explore the short-term outcome and surgical technique of minimally invasive surgery unicompartmental knee arthroplasty(MIS-UKA) with the imaging monitoring.Methods Forty knees of 38 patients with medial compartmental osteoarthritis of knee treated by MIS-UKA with the imaging monitoring from January,2007 to December,2008 were reviewed and analyzed.The pain and range of motion(ROM) of the knees were evaluated by HSS score system before and after MIS-UKA with the imaging monitoring.Pre-and postope... |
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| Keywords: | Imaging monitoring Minimally invasive surgery Unicompartmental knee arthroplasty Osteoarthritis |
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